Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Paediatric Nursing Test - 5
Test - 5
1. The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except:
radial and ulnar pulse.
2. A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to:
Dorsiflex the foot while flexing the knee when the cramps occur
Plantar flex the foot while flexing the knee when the cramps occur
Plantar flex the foot while extending the knee when the cramps occur
Dorsiflex the foot while extending the knee when the cramps occur
3. The nurse recognizes that an expected change in the hematologic system that occurs during the 2nd trimester of pregnancy is:
An increase in blood volume
In increase in hematocrit
A decrease in WBC’s
A decrease in sedimentation rate
4. The developing cells are called a fetus from the:
Time the fetal heart is heard
Eighth week to the time of birth
Implantation of the fertilized ovum
End of the send week to the onset of labor
5. A prenatal nurse is providing instructions to a group of pregnant client regarding measures to prevent toxoplasmosis. Which statement if made by one of the clients indicates a need for further instructions?
“I need to avoid touching mucous membranes of the mouth or eyes while handling raw meat.”
“I need to cook meat thoroughly.”
I need to avoid contact with materials that are possibly contaminated with cat feces.”
“I need to drink unpasteurized milk only.”
6. The antagonist for magnesium sulfate should be readily available to any client receiving IV magnesium. Which of the following drugs is the antidote for magnesium toxicity?
7. When involved in prenatal teaching, the nurse should advise the clients that an increase in vaginal secretions during pregnancy is called leukorrhea and is caused by increased:
Production of estrogen
Supply of sodium chloride to the cells of the vagina
Functioning of the Bartholin glands
8. At a prenatal visit at 36 weeks’ gestation, a client complains of discomfort with irregularly occurring contractions. The nurse instructs the client to:
Time contraction for 30 minutes
Lie down until they stop
Walk around until they subside
Take 10 grains of aspirin for the discomfort
9. A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a plan of care for the client and documents in the plan that if the client progresses from Preeclampsia to eclampsia, the nurse’s first action is to:
Administer oxygen by face mask
Clean and maintain an open airway
Assess the blood pressure and fetal heart rate
Administer magnesium sulfate intravenously
10. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of a Goodell’s sign. The nurse determines this sign indicates:
The presence of fetal movement
A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.
The presence of hCG in the urine
A softening of the cervix
11. During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted?
12. After the first four months of pregnancy, the chief source of estrogen and progesterone is the:
13. Which of the following symptoms occurs with a hydatidiform mole?
Heavy, bright red bleeding every 21 days
Fetal cardiac motion after 6 weeks gestation
Benign tumors found in the smooth muscle of the uterus
“Snowstorm” pattern on ultrasound with no fetus or gestational sac
14. In a lecture on sexual functioning, the nurse plans to include the fact that ovulation occurs when the:
Blood level of LH is too high
Endometrial wall is sloughed off.
Oxytocin is too high
Progesterone level is high
15. The pituitary hormone that stimulates the secretion of milk from the mammary glands is:
16. A pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks, a 5 year old daughter born at 38 weeks, and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that the client is:
G5 T2 P2 A1 L4
G5 T2 P1 A1 L4
G4 T3 P1 A1 L4
G4 T3 P2 A1 L4
17. A nurse midwife is performing an assessment of a pregnant client and is assessing the client for the presence of ballottement. Which of the following would the nurse implement to test for the presence of ballottement?
Palpating the abdomen for fetal movement
Auscultating for fetal heart sounds
Assessing the cervix for thinning
Initiating a gentle upward tap on the cervix
18. A nursing instructor asks a nursing student who is preparing to assist with the assessment of a pregnant client to describe the process of quickening. Which of the following statements if made by the student indicates an understanding of this term?
“It is the soft blowing sound that can be heard when the uterus is auscultated.”
“It is the fetal movement that is felt by the mother.”
“It is the irregular, painless contractions that occur throughout pregnancy.”
“It is the thinning of the lower uterine segment.”
19. A nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to: A
Wear tight-fitting blouses or dresses to provide support
Wash the nipples and areola area daily with soap, and massage the breasts with lotion.
Wash the breasts with warm water and keep them dry
Avoid wearing a bra
20. Andrea with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important?
A fever that started 3 days ago
Lack of interest in food
A recent episode of pharyngitis
Vomiting for 2 days